Individual
DR. DAVID CONRAD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 SAINT FRANCIS AVE, SUITE 150, SHAKOPEE, MN 55379-3387
(952) 403-3399
(952) 403-3390
Mailing address
10092 PURGATORY RD, EDEN PRAIRIE, MN 55347-4745
(952) 944-4070
(952) 944-4070
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26543
MN
207X00000X
Orthopaedic Surgery Physician
33472
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973505400
—
MN
Enumeration date
05/10/2006
Last updated
04/08/2024
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